For TTBDO use only
Date of Submission: ____________________
CU-TTBDO of Submission: ______________
Modified 08 May 2015 TTBDO Form No. 7
Technology Transfer and Business Development Office (TTBDO) Office of the Vice President for Academic Affairs (OVPAA)
University of the Philippines
APPLICATION FORM FOR INVENTION DISCLOSURE INCENTIVE (IDI) BRIEF OVERVIEW OF THE INVENTION
Title:
What problem does your invention solve and how does it work?
(Attach, if any, publications and draft future publications related to the invention)Describe the
development status.
(concept only, laboratory tested, prototype, etc.)
COMMERCIAL POTENTIAL OF THE INVENTION Who are the potential
customers of your invention?
(Cite your industry contacts, if any.)
1) Name:________________________________________________
User Manufacturer Distributor Investor Other:_________
Type of Industry: _______________________________________
2) Name:________________________________________________
User Manufacturer Distributor Investor Other:_________
Type of Industry: _______________________________________
Competitive advantage
CONTACT DETAILS Name(Last, First, Middle):
Home Address:
Office Address :
Telephone No.: Cellphone No.
Email Address:
Please submit this form to your respective campus TTBDO:
UPD Office of the Vice Chancellor for Research and Development (OVCRD), UPMnla TTBDO, UPLB Center for Technology Transfer and Entrepreneurship (CTTE), UPV Office of the Vice Chancellor for Planning and Development (OVCPD), UPB Office of the Vice Chancellor for Academic Affairs (OVCAA), UPC TTBDO, UPMin Office of Research, or UPOU Office of Associate Dean for Academic Affairs
